MEDICARE: ALEXANDER SHI-SHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT-29414	AZ

General Provider Information

NPI Number	:	1710862305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER SHI-SHI

Provider Business Mailing Address
First Line	:	3251 N TUCSON BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1503
Country	:	US
Telephone Number	:	520-336-3576
Fax Number	:

Provider Business Practice Location Address
First Line	:	282 E RIVER RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-5838
Country	:	US
Telephone Number	:	520-849-9003
Fax Number	:	520-336-3576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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Directions to “ ALEXANDER SHI-SHI ” Practice Location

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